Healthcare Provider Details

I. General information

NPI: 1376873216
Provider Name (Legal Business Name): PATRICIA LYNN SCHWARTZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA LYNN SCHWARTZ ARNP

II. Dates (important events)

Enumeration Date: 12/26/2009
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 37TH PL STE 104
VERO BEACH FL
32960-6501
US

IV. Provider business mailing address

1050 37TH PL STE 104
VERO BEACH FL
32960-6501
US

V. Phone/Fax

Practice location:
  • Phone: 772-569-3212
  • Fax: 772-569-1435
Mailing address:
  • Phone: 772-569-3212
  • Fax: 772-569-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1318752
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: